| NPI | 1750542791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 127110) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 25580) |
| 207W00000X Ophthalmology (Licence: FL ME127110) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-02-22 |